This industry report by Aite-Novarica establishes the benchmark for Payment Integrity and Cost Containment Solutions on the harmony journey. Intended for Payment Integrity executives to help identify program strengths and areas of opportunity, key insights include:
The shift to pre-pay and beyond lies on the horizon.
Provider abrasion remains a sticking point.
Medicare and Medicaid claims require automation.
Technology adoption is well underway, but plenty of manual processes remain.
The path to automated adjudication is long.
Current communication leaves room for improvement.
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